9-J-3 Certified Statement of Non-Collusion.pdf
PDF 146 KB Posted
- Attached to
- Colonial Avenue Sewer Separation
- Solicitation number
- 2000
- Issued by
- Alexandria City, Virginia
About this file
This is a Certified Statement of Non-Collusion form required by the City of Alexandria, Virginia for bidders on the Colonial Avenue Sewer Separation project. The form certifies that the bidder is not engaged in collusive practices with competitors, fraudulent activity, or bid-rigging schemes in connection with their offer to transact business with the City. The project involves installing 192 feet of 12-inch PVC pipe using horizontal boring techniques, replacing 351 feet of existing PVC pipe, installing and connecting to manholes, and reconnecting laterals for sewer separation purposes.
The form requires the bidder's authorized signatory to acknowledge understanding of Virginia Code provisions that establish severe penalties for false statements, collusion, and bid manipulation. Specifically, bidders must certify compliance with Section 18.2-498.4 (which authorizes the City to require the statement), Section 18.2-498.3 (which prohibits falsification of material facts and fraudulent representations), and Section 59.1-68.7 (which prohibits combinations, conspiracies, or agreements to rig or manipulate proposals). Violations of these provisions constitute Class 6 felonies under Virginia law. The form requires the signature, printed name, title, and date from the bidder's authorized representative to finalize the certification.
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Text version
J-3, CERTIFIED STATEMENT OF NON-COLLUSION
A. This is to certify that the undersigned is seeking, offering or agreeing to transact business or commerce with the City of Alexandria, a municipal corporation of Virginia, or seeking, offering or agreeing to receive any portion of the public funds or moneys, and that the offer or agreement or any claim resulting therefrom is not the result of, or affected by, any act of collusion with another person engaged in the same line of business or commerce; or any act of fraud punishable under Article 1.1 (Virginia Governmental Frauds Act), Chapter 12 (Miscellaneous), Title 18.2 (Crimes and Offenses Generally) of the Code of Virginia (1950), as amended.
B. This is to further certify that the undersigned has read and understands the following:
(1) The City is authorized by Section 18.2-498.4 of the Code of Virginia (1950) as amended, to require this certified statement. That section also provides that any person that is required to submit this statement that knowingly makes a false statement shall be guilty of a Class 6 felony.
(2) Section 18.2-498.3 of the Code of Virginia (1950), as amended, provides that any person, in any commercial dealing in any matter within the jurisdiction of any local government or any department or agency thereof, who knowingly falsifies, conceals, misleads, or covers up by any trick, scheme, or device a material fact, or makes any false, fictitious or fraudulent statements or representations, or makes or uses any false writing or document knowing the same to contain any false, fictitious or fraudulent statement or entry, shall be guilty of a Class 6 felony.
(3) Section 59.1-68.7 of the Code of Virginia (1950), as amended, provides that any combination, conspiracy or agreement to intentionally rig, alter or otherwise manipulate, or to cause to be rigged, altered or otherwise manipulated, any Proposal submitted to any governmental unit for the purpose of allocating purchases or sales to or among persons, raising or otherwise fixing the prices of goods or services, or excluding other persons from dealing with the state or any other governmental unit shall be unlawful.
Any person violating the foregoing shall be guilty of a Class 6 felony.
Bidder’s Name
Bidder’s Authorized Signatory Date
Name and Title of Bidder’s Authorized Signatory
| Bidders Name: |
| Date: |
| Signature13_es_:signer:signature: |
| Signature14_es_:signer:signature: |
File details come from the government source that posted it. Updated .